| NPI | 1033379565 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS SIEMERS CEO 641-682-7511 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: IA 1265) |
| Enumeration Date | 2008-06-09 |
| Last Update Date | 2008-06-18 |